Organization
ASIKARI PERFECT IMPACT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JOHANNA ELIZABETH HARRIS LPC (OWNER/THERAPIST)
(678) 270-6712
Entity
Organization
Contact information
Practice address
235 PEACHTREE ST NE STE 400, ATLANTA, GA 30303-1400
(678) 270-6712
Mailing address
5472 SHIREWICK LN, LITHONIA, GA 30058-3872
(678) 270-6712
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992139505
—
GA
Enumeration date
01/26/2020
Last updated
01/26/2020
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